DR. LISA SANDERS (NPI# 1669446951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669446951 |
| Entity Type | Individual |
| Full Name | DR. LISA SANDERS |
| Credential | MD |
| Practice Address |
140 Grandview Ave Suite #101 Waterbury CT 06708-2505 |
| Mailing Address |
1625 Straits Tpke Suite #201 Middlebury CT 06762-1805 |
| Practice Telephone | 2035737284 |
| Practice Fax Number | 2035737031 |
| Mailing Telephone | 2035739512 |
| Mailing Fax Number | 2035682904 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 038642 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920247 | Lisa Kalynn Sanders | Nurse Practitioner | 2128 Page Creek Trl, Longview, TX 75601-0007 | 2020-10-20 |
| 1003432303 | Lisa Marie Sanders | Counselor | 7350 Montgomery Rd Ste 516, Cincinnati, OH 45236-7500 | 2020-06-23 |
| 1881162402 | Lisa Jeanne Sanders | Internal Medicine | 1315 E 7th Ave Ste 104, Tampa, FL 33605-3606 | 2018-11-13 |
| 1609046721 | Lisa Sanders | Internal Medicine | 2075 W Pecos Rd Ste 1, Chandler, AZ 85224-5723 | 2008-03-04 |
| 1548319726 | Lisa Ann Sanders | Licensed Practical Nurse | 18724 Fairway Ave, Maple Heights, OH 44137-1611 | 2007-01-09 |
| 1356439707 | Lisa Marie Sanders | Technician, Other | 54 Tillson Ave, Rockland, ME 04841-3417 | 2006-10-11 |
| 1467476903 | Lisa Jennifer Sanders | Nurse Practitioner | 900 W 48th Pl Ste 900, Kansas City, MO 64112-1899 | 2006-07-27 |
| 1235196734 | Lisa Marie Sanders | Chiropractor | 1525 Lexington Ave, Lawrenceville, IL 62439-2260 | 2006-04-27 |
| 1073594602 | Lisa M Sanders | Social Worker | 3250 Route 27, 103, Kendall Park, NJ 08824-1536 | 2005-11-10 |
| 1417587940 | Lisa Sanders | Pharmacist | 2655 Freedom Pkwy, Cumming, GA 30041-9177 | 2020-01-23 |
| Street Address |
140 GRANDVIEW AVE SUITE #101 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131152 | Bidarkote Somanath | Pediatrics | 140 Grandview Ave, Suite No 206, Waterbury, CT 06708-2505 | 2005-08-11 |
| 1336437029 | Kathryn Spiess | Advanced Practice Midwife | 140 Grandview Ave, Suite 202, Waterbury, CT 06708-2505 | 2011-07-14 |
| 1679868822 | Stephen S Wallace | Dentist | 140 Grandview Ave, Suite 102, Waterbury, CT 06708-2505 | 2011-06-16 |
| 1245520220 | Eileen Correia-depaola | Massage Therapist | 140 Grandview Ave, Suite 104, Waterbury, CT 06708-2505 | 2011-04-12 |
| 1861704181 | Irida Molla | Internal Medicine | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2010-07-02 |
| 1104070077 | Leslie Ann Torres | Social Worker | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2008-11-05 |
| 1962651968 | Connecticut Kidney & Hypertension Specialists, LLC | Internal Medicine | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2008-09-15 |
| 1124280631 | Meghan Marie Slemmens | Obstetrics & Gynecology | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2008-06-26 |
| 1689846719 | David G. Reis Md, LLC | Specialist | 140 Grandview Ave, Suite 204, Waterbury, CT 06708-2505 | 2008-03-28 |
| 1982882882 | Sandeep Tiyyagura | Internal Medicine | 140 Grandview Ave, Suite 101, Waterbury, CT 06708-2505 | 2008-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750538 | Sameerah Ibtisam Rehmani | Internal Medicine | St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 | 2017-06-27 |
| 1053799544 | Emily Pinto Taylor | Internal Medicine | 133 Scovill St Ste 300, Waterbury, CT 06706-1127 | 2015-05-15 |
| 1578849519 | Uday Shankar | Internal Medicine | 3801 E Main St Fl 2, Waterbury, CT 06705 | 2011-10-21 |
| 1275828261 | Bechoi Saleib | Internal Medicine | 1981 E Main St, 2nd Floor, Waterbury, CT 06705-1822 | 2011-06-17 |
| 1750525549 | Benjamin Bodnar | Internal Medicine | 95 Scovill St Fl 3, Waterbury, CT 06706-1113 | 2009-04-24 |
| 1588848766 | Tracy Lyn Rabin | Internal Medicine | 64 Robbins Street, Waterbury Hospital Campus, Main 3, Yale Primary Care Program, Waterbury, CT 06708 | 2007-12-24 |
| 1255549622 | Ashish Arora | Internal Medicine | 133 Scovill St Ste 104, Waterbury, CT 06706-1127 | 2007-05-18 |
| 1780782953 | Vidya Loganathan | Internal Medicine | 2457 E Main St Ste 1e, Waterbury, CT 06705-2684 | 2006-09-20 |
| 1083724967 | Westside Medical Group | Internal Medicine | 714 Chase Parkway, Suite 6, Waterbury, CT 06708-3939 | 2006-08-30 |
| 1922111632 | Thomas Owen Genese | Internal Medicine | 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 | 2006-08-16 |
| Find all providers in WATERBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.